Healthcare Provider Details

I. General information

NPI: 1558826321
Provider Name (Legal Business Name): CLAUDIA LISBET GARCIA AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/06/2019
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 W CAMERON AVE STE 350
WEST COVINA CA
91790-2726
US

IV. Provider business mailing address

PO BOX 11931
SAN BERNARDINO CA
92423-1931
US

V. Phone/Fax

Practice location:
  • Phone: 626-337-8811
  • Fax: 626-856-5653
Mailing address:
  • Phone: 909-733-2385
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAMFT155050
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPCC6063
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberAMFT155050
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: